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Organization
MARIANO S LACAYO MD PA
Active
Organization
MARIANO S LACAYO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANO S LACAYO MD (PRESIDENT)
(786) 281-5358
Entity
Organization
Contact information
Practice address
7821 CORAL WAY, STE 101, MIAMI, FL 33155-6542
(786) 281-5358
(305) 255-1669
Mailing address
PO BOX 830653, MIAMI, FL 33283-0653
(786) 281-5358
(305) 255-1669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME89783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271309800
—
FL
Enumeration date
07/25/2008
Last updated
01/14/2009
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